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HomeMy WebLinkAbout031-272-010rr � 31-272-10 Eugene Warren 1465 10th St., lot 132, Corona Terme Oroville Permit #2526-80P,E(uoti] ,MH) ELEC.6- a tea& _ GAS lo - D, -SO 1AVI\,+ SUPPORT STRU COMPACTION TE 'T ,., AP 31-272-10 Permit 28590MHI�r 2526-80) ISSUED 31272-10 Permit #3006-80B(reins.awning & construct nej deck/' '�- -7-- 031-272-010 PERMIT#96-2179 WARREN, Eugene 1465 10th Street,LOroville ' Demo/SF _ /�► „/����,'/ /► �� 7- w PERMIT NO. 3006-80B PERMIT EXPIRES OWNER Eugene -Warren CONTR. owner 31-272-10 LOCATION (A.P. 1465 10th St.; Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv./ Called PG&-� Temp. Gas Ser Called P &E FI FLL ED Stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicapped Conformance of ex. /2 structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam ,/ , FIRE SPRINKLERS I Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal ' Water Piping Sewer Gas Piping E I A L I --------------Support Elec. Continuity Water Piping nsrr-� Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each.time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ,APPLICATION AND PERMIT Imp � • , J ASSES O P y,UMBER ZaNING BUILDING PE MI O TELEPHONE SQ. FT. OCC. BUILDING VALUATION LING A�OWNER'S I SS •— 193 ' CON RAC R'S AME 0 Lo I TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE 9-p NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ -4P11D' 'BUILDI 1W DRESS O. PLUMBING PERMITFill ng Fee 3.00 1 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or ventt2.00 Gas piping system 1 - 5 outlets USE OFSRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: S S Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service OR LESS 100 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( DWEACCLBL GS.LING CCUP.y\ / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Z-111 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR U TI_Ou LET NOBRANCH CIRC TS 2.5Oea NEW CONSTR (POWER APPARATUS &) NON-RESID(. (POWER OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES BAL@1 BAL@T 00 FIXED APPLNS. OR Ex. Occup. (0UTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is -for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate ot to Self -Insure. shallhall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue` against id County in consequence of the granting of this permit. (� X Date f/ d 0 Signature o pplicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Oc CUP. GROUP I I TYPE OF CONST. N PARCEL PD HD ISSUE �. This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC By T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS J Date ""1%-- Receipt No. 9 � / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT In 031-272-010 PERMIT#96-2179 WARREN, Eugene 1465 10th Street, Orovi/llle Demo/SF -- —----1/�3/q l�J j I', COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION'AND PERMIT ASSEMYj fg2 BEQ o' ZONING BUILDING PERMIT. o ,"c�UGENE WARRENTELEPHONE SO. FT. OCC. BUILDING VALUATION �5 V" ,WtWU AVE. , OROVILLE CONMy T_rS� NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15,00 ARCHITECT OR ENGINEER LICENSE NO. I Plan Checking Fee $ Energy Plan Checking Fee $ ARCHTECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1365 10XH ST., OROVILLE PERMITFEE $ 35,00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO, SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFlQL Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other E1 Describe Work: _ D040 22 X 27 Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee • ,'20.00 Main Service 0 0 OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby Sffi m under penalty of perjury that I am exempt from the Contractors License Law foytfie following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ( d ACC. ) 3.5¢ FT. CNS. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER NGLE APPARATUS ) 8 SIOUTLET CIR. Ex. Occup. ( OUTLET OR FD(TURES ) 20 @ 1.00 BAL 9 .SO Ex. Occup. ( OunEEDTs �R sE o.ORA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section of the Labor Code, for the performance of work for which this permit is issued. workers' compensation insurance carrier and policy number are: rier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor L370 cy Number e above sections need not be-completed•if the permit is for work of a valuation nehundred dollars ($100) or less.) tify that in the performance of the work for which this permit is issued, I shall not employ any person ins any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr visions. ��''}} � c6- f q Date =r¢, r J:g�n�alure of app is owner ❑ Contract ❑ Agent An OSHA permit is required for excavations over 60" deep and -demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy.lnspection Fee ,- $ occ CONST. TYPE TOTAL FEE $ 35.00 1. ; HAZ. D. FEES IMP ROOD CDF PARCEL PO HD E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fees ve been paid. % B Date G t9/23/96of 9/23/97 (Date) } Receipt No. c7PERMITEXPIRESON WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /h COUNTY OF BUTTE- DEPARTMENT OF7DEVEi.OPMENT SERVICES -BUILDING DIVISIO 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATI,ONPAD PERMIT ASSF.S„SQit PARGG�p�l 11 1 / [E ZONING BUILDING PERMIT O1N"�'[JGEN WARREN TELEPHONE SO. FT. OCC. BUILDING VALUATION ee "` Il AVE., OROVILLE CONj7�C7, { k NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 1465 1(D$X%X1.XTH ST., OROVILLE PERMITFEE $ 35.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF)R Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 13( Describe Work: DEMO 22 X 27 Mobile Home S G W @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main ServiceOOOV OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby Irm under penalty of, perjury that I am exempt from the Contractors License Lawtfo a following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( a ACC. BUDS. ) SO. 3.SQ FT. NEW CONST. M ULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (s SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 O 1.00 BAL R .SO Ex. Occup. (oUEXXEDTs (PUN OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ance of the work for which this permit is issued. nd will maintain workers' compensation insurance, as required by Section the Labor Code, for the performance of work for which this permit is issued. kers' compensation insurance carrier and policy number are: L37 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Number sections need not be completed if the permit is for work of a valuation undred dollars ($100) or less.) hat in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those pr visions. 99 X //����� 4�, ADate =� G I na ure of plicant - wnerr0 Co—nttracc or O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Feeove Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 ,01 HAZ. D. FEES I IMP FLOOD CDF PARCEL PD I HD 1715E This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate above for which fes ve been paid. N B Date 9/23/96 PERMITEXPIRESON 9/23/97 I (Date) Receipt No. O WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building permit has_ been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1 I personally plan�tb provide the majorab and materials for construction of the proposed property improvement :YES[ NO[ ]. 2 I HAVE[ ' HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME ADDRESS PHONE TYPE OF WORK SI ED: PROPERTY OWNER<&f� SOCIAL SECURITY NUMBER: n DATE: -- NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.-1 Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Si cbrel ; ` Micha4l C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Demolition Permits Asbestos Notification;Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. 719827.5. A demolition, permit shall not be issued by any city, county, city and county, or state nd local agency which is authorized to issue demolition permits as to any building or structure except upon the.receipt from the permit applicant of -a copy of each written asbestos notification regarding the building -that has been required to be submitted to the United -States Environmental Protection Agency or -to a designated state agency, or both; -pursuant to Part 61 of Title 40 of the Code of Federal -Regulations, -or the successor to.that part. The permit may be issued without the applicant submitting a.copy of the -written notification if the .applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicaat ()R I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. i nature of Applicant 2/19/91 October 23, 1996 Eugene H. Warren 1731 Grand Avenue Oroville, CA 95965 L A N D O F N A T U R A L W E A LJ H A N D B E A U T Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH THOMAS REID, DIRECTOR 18-B County Center Drive Oroville, California 95965 Telephone: (916) 538-7282 FAX: (916) 538-2165 RE: 1465 10th Street, Thermalito (Oroville Area) -- Butte County Assessor's Parcel Number 031-272-010 Dear Mr. Warren: Thank you for routinely communicating with me relative to your demolition of the above dilapidated dwelling. The progress you have made is appreciated. A time extension until November 23, 1996 to complete the work is satisfactory to this department. Sincerely, Thomas Reid, Director Division of Environmental Health TR/mlf cc: Craig Erickson Phil Nelson Mike Vieira A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW September 9, 1996 Eugene H. Warren 1731 Grand Avenue Oroville, CA 95965 U u tte Count D O F NATURAL \N EA LTH Ai,!D 3EAUT . DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH THOMAS REID, DIRECTOR 18-B County Center Drive Oroville, California 95965 Telephone: (916) 538-7282 FAX: (916) 538-2165 RE: Dilapidated Dwelling - 1465 10th Street, T Oroville Area) Butte County Assessor's Parcel Number 31-272-010 Dear Mr. Warren: On September 4, 1996 an inspection was made of the above property. I understand that the property is owned or controlled by you. At the time of the inspection a dilapidated and vacant dwelling existed upon the property. In accordance with Section 17920.3 of the California State Health and Safety Code the building is a substandard building. In accordance with Section 54 of Title 25, California State Code of Regulations the structure is additionally a nuisance. Section 54 requires the property owner to abate the condition within thirty (30) days. To comply with Section 54 please complete the abatement prior to October 9, 1996. Although repair is allowed by State law, the extreme dilapidation indicates that the correct abatement process is demolition. A demolition permit is required for the work. To obtain the permit please contact Butte County Department of Development Services, Building Division, 7 . County Center Drive, Oroville. Please feel free to contact me if you have any questions. Sincerely, Thomas Reid, Director Division of Environmental Health TR/mlf cc: Craig Erickson Phil Nelson Mike Vieira u A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW -45 an��9--� " PERMIT NO. 2526=8BP,E PERMIT EXPIRES OWNER Eugene Warren owner CONTR. • i LOCATION (A.P. 31-272-10 ) 1465 10th St., Oroville y 7} r ' I r' j� t - Temp. Power Pole Called PG&E Temp. Elec. Sere lZ Called PG&E Temp. Gasv. Z ! Called PG&E JOB F LED (Date) (Signature) 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S tback I FI wall Sol PIDina ry Reinf. SteellFinal z I Fixtures Bond Bea FIRE SPRINKLEF21, I Motors Stucco Final I I SubpaneIV Mesh MECHANICAL I Gird. Fauft Prot. Scra h N I HeatIA I Servic BrqAn I Coo ng I TeAp. Pole Inforlor Lath V ntilation N I eennanent or Closer: inal 34 Inal MOBILEHOME UTILITIES ------------------ Elec_ Servic —I- Elec. Pedestal Water Piping — Sewer Gas Piping EIN--------------Support vElec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS z G 1-� Ar (NOTE: An entry must be made on this form each time you visit the job site.) ParapLets 1st loor M n Bldg.Restro m Finish 2nd Noor otin s Window 3rd F14r St wall Siding To out Slab Roof Sheaduno Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Car rt Footings handicar pehysicall Conformanccclle of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio IREPL CE Final Footings Footing ELIECTRICAN Reinf. SteellFinal z I Fixtures Bond Bea FIRE SPRINKLEF21, I Motors Stucco Final I I SubpaneIV Mesh MECHANICAL I Gird. Fauft Prot. Scra h N I HeatIA I Servic BrqAn I Coo ng I TeAp. Pole Inforlor Lath V ntilation N I eennanent or Closer: inal 34 Inal MOBILEHOME UTILITIES ------------------ Elec_ Servic —I- Elec. Pedestal Water Piping — Sewer Gas Piping EIN--------------Support vElec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS z G 1-� Ar (NOTE: An entry must be made on this form each time you visit the job site.) u COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ..i 7 County Ceriter Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER _.. 2 i w ,; ,7" ZONING A-., BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS' / i!73� Au C NTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER -__ LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 1 2.00 Repair drainage or vent piping 2.00 ,+ % Cft� l/( G /%,;-} Water piping /0, t�t� LOT NO. SUBDIVISION NAME 9 yid c-! 6 _,0. �-� isvG? �, tl PARCEL MAP Each pas water heater or vent 2.00 e• Gas piping system 1 - 5 outlets ao USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ® Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remodel❑ Utilities Installation❑ Other ❑ Describe work: Permit Fee $1,L+U Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service eOOV OR LESS 100 AMP OR LESS 5.00 5 .L 0 Main service EA. ADD'L 100 AMP 2.50 7 I ;, NEW CONST. OR ACDNS. ( ACCLBLDGLING OCCUP,&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business ,and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑� I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CRC ITS HP NEW CONSTF;L / POWER RATUS &) NON-RESID, \SINGLE OUTLET CIR. S0@2s¢ Ex. Occup(o XTS OR FIXTURES BAL@10Q Ex. Occup.FITED APPLES, OR (ouTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /�`, 00 Misc. Wiring 6.25 Permit Fee $ % 516 Ej Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 7I shall not employ any person in any manner so as to become subject N to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. ,` T .J , f ' X Date / �I Signature of Applicant — Owner[ Contraaror ❑ Agent F-1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3Csttories in height. Mobile Home Installation Fee $ Land Development Fee $ Z 7, TOTAL PERMIT FEE $ �� U OCCUP. GROUP I TYPE OF CONST. PARCEL J PD• ,% � ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS \ !`� �r—..._..5—,!_ BV" - 11'0' a,. }� Date ! � }}... PERMIT EXPIRES Date Receipt No. r�/ _r WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and,gentrally conform to plot plan? Yes_/ c 2. Does the mobilehome have required clearances above ground? (Sec.5085) Ye sl..,: - No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 &-5083) Yes_,,_ -No_ 4. Is the mobilehome level? (Sec. 5088) Yes 11_�o_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes1.--Vo_ 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes + 11. �- B: Test ---Does water piping withstand working pressure or 50 lbs. air test? YesV No C. Backflow - If coach is not State of Califon approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -V No B. Does it have minimum k" per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,Yes a No,.e_" D. If coach is no6t State of California approved, does station have required trap and vent? Yes No -L 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes_ No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes o 9. Electrical A. Ie -service large enough to provide adequate amperage -to mobilehome (must equal rating of. mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes_ No B. Is there proper clearances around panels? YesL,,�No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes/ 1i�o 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_( Width_ c`2— Fly/f Vehicle Serial No.i UGGrX.- State Identification No. Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, �C�}ap�r 5 under ermit number<-2S7RD for the following location: Oi7o�� /6 S i 0mLit Pe Owner 1.1-1,1s� (l) a e''T P --y1 g Owner's Address Mobilehome Mfg. -IV#A Qb Irl Model _ Insignia No. 16 46 Serial No. 7 Year It is hereby certified for occupancy at the above described location and may be occupied. • Director of Public WoAs DateBy THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5,,u#Ider permit ` number: for the following location: I %0 -� K 6R9ep� Owner _ u a Ie-^ Owner's Address Mobilehome Mfg. Yar-. Model Year, i Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direct ,of Public Works Date e ri By t� THIS CERTIFICATE IS VOID WHEN MOBILEHOME ISyRELOCATED ` White - Owner, Yellow - Installer, Pink - D.P.W. 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965- Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER D ZOI I'G /L7/ BUILDING PERM( TV OWNER �U � 7P � r�•e TELEPHONE � ����D SQ. LDING FT. OCC,. Bull V ION . OWNER'8 MAILING yDDRRES/ Ze C-0 7 (' f L, CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. i Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS `—' Permit fee $ BUILDING ADDRESS 14 PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 vt �o Water piping /O,Od LOT NO. 1� SUBDIVISION NAME 2// ifm w "a, �Qv Q QR N a 9 / PARCEL MAP Each qas water heater or vent 2.00 0-' Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN Other - SPECIFY Building sewer DOD Lawn sprinkler system 2.00 _ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti I i t i e s Installation ❑ Other ❑ Describe work: Permit Fee $ 5.,0IP,) Contractor ELECTRICAL PERMIT Filing Fee 3.00 V OR L Main service 100 AMP ORSLESS 5.00 ,60 Main service EA. ADD -L 700 AMP �; 0 2.50NEW CONST DWELING OR ADDNS. ( ACCLBLOGS.CCUP,t4� / 20sgft CONTRACTORS LICENSE LAW I declare under penalty Of p y perjury IUr y (check one): .❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) n11{ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONSTR I-Ou LET NON-RESID BRANCH CIRC ITS 2,50 ea NEw CONSTR / POWER APPARATUS 81 NON.RESID, (SINGLE OUTLET CIR. / SO @ ¢ OR FIXTURES aBAL@1 . Occup(o XED FIXED A PLNSOR Ex. OcCup.(ouTLETS (RESI,D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 1S;00 Misc. Wiring 6.25 Permit Fee $ 5_0 Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter. upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against aid County in consequence of the granting of this per it. X�i {� Date Signature of Applicant — Owner I� Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in hheeight.III Mobile Home Installation Fee $ Land Development Fee $ 7— 9', m0 TOTAL PERMIT FEE $ 07 31"s-0 OCCUP. GROUP I TYPE of CONST. I PARCEL V// P I HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF PUBLIC B PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS to S .�3' a Receipt NO. 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD;APPLICANT COUNTY OF BUTTE`- D 1E OF PUBLIC WORKS P RM No 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR— PARCEL NUMBER / ZONI G — BUILDING PERMIT OWNERTELEPHONE C -1/ C/ SQ. FT. OCC. BUILDING VALUATION ER 'S MAIL( ,I, ESs7• CONTRACTOR'S NA E TEL EF HO^iF. - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace. TOtaI Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD( A ESS �c PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel Uti lities Installs 'on Other E:1Contractor Describe work: �2 �L c_ Permit Fee $ ELECTRICAL PERMIT Filing Fee 3.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. ACCLBLDGS. OCCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y ...��� License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTR ULTI.OUTLET 2,50 ea NO N.R ESID BRANCH CIRC ITS NEWCONSTR. (POWER APPARATUS &) NON -RESID. (SINGLE OUTLET CIR. 80 @ Bc Ex. Occup(OUTLETS TS OR FIXTURES gAL@10C FIXED APPLNS. OR Ex. OCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee .:.;,-'3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against aid liabilities, judgments, costs, and expenses which may in any way accrue again id County in c asequence of the granting of this ermit. X �^ Date3140_42 Signature of Applicant — Owner Contractor ❑ Agent ❑ - An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3pStori -s in height. Mobile Home Installation Fee $ 4yV„00 Land Development Fee $ Ot TOTAL PERMIT FEE $ ,00 OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD ” ISSVE This.permit is hereby issued under sions the Butte County Code and/or wor in icat d above for which R OF PUBLIC B ERMIT EXP(V4 ES Date. the applicable provi- resolutions to do fees have been paid. WORKS ^,0 ,�_.L Receipt No. 3 / ZOG> WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome'Mfr. JAI J-' furnish Setup Model No. Year Width_(ft.) Box Lengt(ft.) Tagalong or Expando Size 7' ft. loft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 19731 furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of m bilehome'unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or t� foundation grade. Fx ',2, ther' (s ify) (ft. (in:) (in.) Cin.) Center su ort Center sup ort location * footing s zes Support's (check one) (in.) Concrete block. X 2. Other (specify) X/ '� (f t .) (in .) (in .) in .) vJ �J *---Tagalong or Expando,' �. show support details. 1 (in.) (in.) / %�(y Typical Support In.) ( n. Footing Size x (ft.)(in) (in. (in.) Max. Pier Spacing x -- Max. Overhang ( t.) (in.) (in.) (in. ''(ft. (in.) AV E COUN I y OL" D'NG pEPgRT *If center piers are other than drawn above, 'n in. -locations, spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 9 c/ alu 2. Installer's name: .jje 3. Is the site currently under permit? Yeh No (If yes, furnish permit number ) OR Is the site an existing site? Yes No' 17 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No —1 (If no, clarify .5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- /() 0 Amps 7.. What is the circuit breaker rating? -------"----- Amps mobilehome site 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural %% LPG length to the (ft.) 11. What is the gas pipe from meter or tank mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 £t. on natural gas or less than 50 ft. on LPG.) Utility conne hip Sh®II Be d 4 ft. of e mobil om if Accordance with Recognized Coo Practice$ an directly hind or with 1 of a .quality prescribed for t %ad use in the he re Uniform Buildi rn6in ` JICodes andhalf of t'e roadsi National Electrical, Cade. mobile h me. A permit will b�required ?or A9 iwfaation of the rnobilehome. �.13,`�4A)dO 0&'This set�-e4-piarrs-a ,specifics ions FAUST b® ( �, 2 G ©p egg kept on the job at °a tames and is unlawful to ( maze any changes or alterations o same without wrriVen permission from the Depa tment of Pub- c^ y� lie Works, County of Butte. pne"17 s An9. I 5o SQL, �— 2 S) Z (0Gum- UNTY 80 a g pARTMGNI ARRR®VEDy I THERMALITO IRRIGATION DISTRICT 410 GRAND* AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-07 . 40 'j 840 CSA 26 SEWER SERVICE APPLICATION 'AND CONNECTION PERMIT 7Y i' 7 Service Address: Owner's Name: ate: — Address: t. No: 3 .2 Phone: I No. Units: Applicant/Agent: i Agents Proof: Address: F ees: Phone: I Application Arrearage Preliminary Review By7 A111 Date: 76 CSA 26' Remarks: Ai/ --t, jj r) 72 SC OR 1 st Mo. S.C. t. Other Total Fees • Collected By: Date: Field Review -e Date: 7 Remarks: Iv, /V q K), /T 'r n MONTHLY SERVICE CHIARGES WILL COMMENCE AUTOMATICALLY UPON: D Date of TID approval of com leted building sewer (early connection). 30 days after date above or on date of D.P.W. approval. of completed building sewer, which ever comes first ("ex ' isting construction", ' 'prior to Mar. 5, 1974). ❑ 180 days afterdb-te above, or On date of D.P.W.-approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PI . NK - DPW, GOLDENROD - DPW to TID .Lc. . ...�.}• N•1' •.,}' .... � ..4. 2A:�3'. -.. .. ..:tOl _ ,'..... •.,�;- Y' ^�E. ,S'a2 `tlt.' ,.'Gd...._ .. e'i: .. r.. .— .-, rpt'' ., .. i?•�.5� tf .' �. �4 �� .. I '. 41 t� .. _ e 1�•� _y .. i�